Individual provider Active NPI

Paul Sylvester Atakpo, D.O.

  • Dermatology Physician
  • Norman, OK
National Provider Identifier
1124552336
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7206 Issued in OK
Practice address
3960 West Tecumseh Road
Suite 120
Norman, OK 73072
Phone
(405) 217-3886
Fax
(405) 217-3418
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0116031529 VA
Dermatology Physician 207N00000X 7206 OK Primary

Addresses

Primary practice location

3960 West Tecumseh Road
Suite 120
Norman, OK 73072

Mailing address

926 SW 107TH St Ste 100
Oklahoma City, OK 73170-5244
Phone (405) 735-9788

Other practice location 1

1290 W Covell Rd Ste 208
Edmond, OK 73003-3556
Phone (405) 888-5155

Other practice location 2

926 SW 107th St Ste 100
Oklahoma City, OK 73170-5244
Phone (405) 735-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415001710 OK Practitioner - Dermatology 6800163965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yaohan Lam Dermatology PLLCGroup PAC ID 2860611712, 6 clinicians

Practice addresses (Care Compare)

1296 W Covell Rd
Suite 208
Edmond, OK 73003-3556
Phone (405) 735-9788

926 SW 107TH St
Oklahoma City, OK 73170-5244
Phone (405) 735-9788

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
87.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision58
Removal of skin lesions629
Removal or shaving of skin growth1-10
Skin biopsy222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7206OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yaohan Lam Dermatology PLLC Dermatology CurrentSince Jun 1, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1290 W Covell Rd
Ste 208
Edmond, OK 73003
Phone (405) 888-5155

3960 W Tecumseh Rd
Ste 120
Norman, OK 73072
Phone (405) 217-3886

926 SW 107th St
Ste 100
Oklahoma City, OK 73170
Phone (405) 735-9788

2201 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 735-9788

926 SW 107th St
#100
Oklahoma City, OK 73170
Phone (405) 735-9788

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1124552336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 SW 107TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705244",
            "telephone_number": "405-735-9788",
            "fax_number": "405-735-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 WEST TECUMSEH ROAD",
            "address_2": "SUITE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-217-3886",
            "fax_number": "405-217-3418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 W Covell Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033556",
            "country_code": "US",
            "telephone_number": "405-888-5155",
            "fax_number": "405-888-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "926 SW 107th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731705244",
            "country_code": "US",
            "telephone_number": "405-735-9788",
            "fax_number": "405-735-9882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATAKPO",
        "first_name": "PAUL",
        "middle_name": "SYLVESTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0116031529",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "7206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.